Video Versus Verbal Preoperative Education in Elective Cesarean Delivery

This prospective randomized controlled trial aims to evaluate the effects of verbal and video-based preoperative education on anxiety levels and serum cortisol response in women scheduled for elective cesarean delivery under spinal anesthesia. Eligible participants will be randomly assigned to receive either standard verbal education or a standardized video-based educational intervention before surgery. Anxiety levels will be assessed using the State-Trait Anxiety Inventory (STAI-S), and serum cortisol levels will be measured before and after the educational intervention. The primary objective is to compare the effectiveness of the two educational methods in reducing preoperative anxiety and physiological stress response.

Inclusion Criteria: * Female participants aged 18 years or older * Scheduled for elective cesarean delivery * Planned to undergo spinal anesthesia * American Society of Anesthesiologists (ASA) physical status I or II * Able to understand the study procedures and provide written informed consent Exclusion Criteria: * Emergency cesarean delivery * History of psychiatric disease * Current use of anxiolytic or antidepressant medications * Endocrine disorders, including adrenal or thyroid disease * Current corticosteroid therapy * Previous surgery performed under spinal anesthesia * Cognitive impairment or communication difficulties that may interfere with completion of anxiety assessments * ASA physical status III, IV, or V